National Provider Identifier [NPI]: |
1083662266 |
Last Name Of The Provider |
YARYURA |
First Name Of The Provider |
RICARDO |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
965 S BENEVA RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
SARASOTA |
Zip Code Of The Provider |
342322401 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
205 |
Number Of Services |
13084 |
Number Of Medicare Beneficiaries |
3267 |
Total Submitted Charge Amount |
3624434 |
Total Medicare Allowed Amount |
1637373.69 |
Total Medicare Payment Amount |
1233923.71 |
Total Medicare Standardized Payment Amount |
1250684.68 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
1020 |
Number Of Medicare Beneficiaries With Drug Services |
254 |
Total Drug Submitted ChargeAmount |
109140 |
Total Drug Medicare AllowedAmount |
54002.63 |
Total Drug Medicare PaymentAmount |
41672.91 |
Total Drug Medicare Standardized Payment Amount |
41672.91 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
204 |
Number Of Medical Services |
12064 |
Number Of Medicare Beneficiaries With Medical Services |
3267 |
Total Medical Submitted Charge Amount |
3515294 |
Total Medical Medicare Allowed Amount |
1583371.06 |
Total Medical Medicare Payment Amount |
1192250.8 |
Total Medical Medicare Standardized Payment Amount |
1209011.77 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
103 |
Number Of Beneficiaries Age 65 to 74 |
1149 |
Number Of Beneficiaries Age 75 to 84 |
1277 |
Number Of Beneficiaries Age Greater 84 |
738 |
Number Of Female Beneficiaries |
1466 |
Number Of Male Beneficiaries |
1801 |
Number Of Non Hispanic White Beneficiaries |
3087 |
Number Of Black or African American Beneficiaries |
53 |
Number Of AsianPacific Islander Beneficiaries |
17 |
Number Of Hispanic Beneficiaries |
71 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
39 |
Number Of Beneficiaries With Medicare Only Entitlement |
3097 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
170 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
68 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.3524 |